Individual
CHANDLER CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
945 E HERCULES CT, LAYTON, UT 84040-5786
(801) 735-9009
Mailing address
945 E HERCULES CT, LAYTON, UT 84040-5786
(801) 735-9009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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